The neurosciences are fundamentally important to the clinical specialties of psychiatry, neurology, and neurosurgery because they explore the biology of neuronal tissues. Two sub-specialty areas within psychiatry--neuropsychiatry and biological psychiatry--have particularly endeavored to integrate neuroscientific information with clinical psychiatry. It is unfortunate in some respects that these subspecialty concepts have evolved, since an appreciation for the basic neurosciences should infuse the clinical approaches of all professionals working with the mentally ill.
MISLEADING DICHOTOMIES There is a common tendency to divide and distinguish phenomena, even in the absence of adequate data. This tendency has had unfortunate consequences for the mentally ill. In recent history, people inflicted with diseases that were not understood (e.g., tuberculosis, cancer) have been ostracized from society. Once the conditions were understood as medical diseases, these outcasts entered the relative comfort of a medical model for their afflictions. Patients with mental illnesses are currently caught in a transitional phase in this process. The general acceptance of mental illness as a disease of the brain is currently hindered by at least five misleading dichotomies.
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